Still not settled
By Jennifer J. Foster
Published: November 4, 2009
Here’s your latest update on the status of the ongoing controversy over whether abortion will be covered in the pending public option.
From The New York Times:
House Democratic leaders struggled Wednesday to strike a deal that would restrict the use of federal money to pay for abortions under sweeping health care legislation headed for debate on the House floor this week ...
The House speaker, Nancy Pelosi, a supporter of abortion rights, has little choice but to heed the concerns of members of her caucus who oppose abortion. As many as 40 House Democrats, a potentially decisive bloc, have threatened to oppose the bill without tighter restrictions on abortion.
As the Times reports, the current House bill neither requires nor forbids health plans from covering abortions; Kathleen Sebelius, secretary of health and human services, would decide whether the public option would cover them.
Sebelius has a long record of support from and cooperation with Planned Parenthood, the largest provider of abortions in the world. So while the House bill doesn’t stipulate that the public option would cover abortion, everyone knows that if Sebelius is making the decision, it will.
I’ve told you here previously about the effort by U.S. Rep. Bart Stupak to ensure that tax dollars are not used to fund abortions. Stupak’s amendment, though it is being assailed as an infringement on women’s rights, would simply continue the policy the federal government has had to abortion funding for 30 years.
U.S. Rep. Brad Ellsworth now has a compromise proposal. As the Times reports, “if the public plan decides to cover abortion, it would have to hire private contractors to handle money that might be used for that purpose.
Predictably, neither side is happy.
Supporters of abortion rights, like the Planned Parenthood Federation of America, said the proposed restrictions went too far.
Laurie Rubiner, vice president of Planned Parenthood, said Mr. Ellsworth’s proposal would “tip the balance away from women’s access to reproductive health care.”
“Abortion should not be treated any differently from any other medical benefit or procedure,” Ms. Rubiner said. “It is our hope and expectation that the secretary would decide to include coverage of abortion in the public option.“
... The bill stipulates that in every part of the country, there must be at least one insurance plan that provides coverage of abortions and at least one that does not.
Douglas D. Johnson, legislative director of the National Right to Life Committee, said Mr. Ellsworth’s proposal was “a phony compromise.”
“It serves no purpose except to assist Speaker Pelosi in peeling votes away from an amendment that would flatly prohibit the public plan from paying for elective abortions,” Mr. Johnson said. That amendment was offered by Representative Bart Stupak, Democrat of Michigan.
It’s been said that a sign of a good compromise is that neither side likes it. That may be true. But Ellsworth’s proposal does come off as a cop-out of sorts—not specifically precluding the public option from covering abortion, but simply providing a middleman to handle the money.
I hope the pro-life members of the Democratic Caucus see this for what it is: Worthless window dressing.
Reader Reactions
Posted by ( Captain Plaid ) on November 05, 2009 at 10:19 am
Might not some powerful interests protect their profits by the abortion issue derailing reform? Reckon they might be more than happy to once again see “values voters”, or at least the politicians that claim to represent these people, take “principled” stands rather than compromise? If they can do it via Blue Dogs or other cautious, Corporatist Democratic Party members then all the better.
Here’s how the St. Petersburg Times’ PolitiFact addressed the recent “analysis” from the House Republican Conference as to the House Bill. The House GOP Conference has claimed “Page 110 - Section 222(e) requires the use of federal dollars to fund abortions through the government-run health plan — and, if the Hyde Amendment were ever not renewed, would require the plan to fund elective abortions.“
PolitiFact offered the following:
“The latest version of the House bill incorporates an amendment proposed by Rep. Lois Capps, a Democrat from California. Her proposal sought to create a compromise on abortion, especially in regards to the public option, a basic insurance plan run by the government and offered as a choice on the health insurance exchange. The public option could offer abortion services, but if it does, those services would be paid for with segregated patient premiums, not public subsidies.
The sticking point here is the term ‘federal dollars.‘ If you consider federal dollars to be tax revenues, then the public option would not pay for abortion. On the other hand, if you consider ‘federal dollars’ to be any money handled by a federal agency, then the public option would pay for abortion. That’s why we rate this statement Half True.
As for the Hyde Amendment, that’s a law that prohibits the use of federal funds for abortions except in cases of rape, incest or when the mother’s health is in peril. This restriction applies to Medicaid, a health program for the poor. (States that offer abortion coverage to Medicaid recipients have to pay for it themselves and through separate mechanisms.) The Hyde Amendment also applies to federal health care coverage for federal employees and for active and retired military.
If the Hyde Amendment were repealed, it seems likely that the public option would then cover elective abortion without the need to segregate public premiums. The health care reform bill says abortion services are covered ‘for which the expenditure of Federal funds appropriated for the Department of Health and Human Services is permitted, based on the law as in effect as of the date that is 6 months before the beginning of the plan year involved.‘ We should add that the Hyde amendment must be renewed every year, and it has been renewed every year since 1976.“
Please see http://www.politifact.com/truth-o-meter/article/2009/nov/04/gop-health-bill-analysis-meets-truth-o-meter/
The Center for American Progress still has a helpful chart up for understanding the Capps Amendment, which certainly seems adequate based on my understandings, which may be found at http://www.americanprogress.org/issues/2009/09/abortion_funding_chart.html
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